Jose E Mendez, DO

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS7092 Issued in FL

Practice address

12600 Pembroke Rd Ste 310
Miramar, FL 33027-2544

Phone

(954) 431-7681

Fax

(954) 431-7682

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Consultants PAGroup PAC ID 7214948124, 4 clinicians

Dermatology Consultants of Asheville PLLCGroup PAC ID 3375881352, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.45 of 100Reported as individual

Promoting interoperability

77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Consultants PA

  • Dermatology Physician
  • Miramar, FL
  • NPI 1689815904
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology Consultants of Asheville PLLC

  • Dermatology Physician
  • Woodfin, NC
  • NPI 1558848093
  Medicare reassignment Care Compare group NPD Authorized official
• Hyperbaric Associates of Florida P a

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Pembroke Pines, FL
  • NPI 1831302942
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1033101175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681",
            "fax_number": "954-431-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 PEMBROKE RD STE 310",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272544",
            "telephone_number": "954-431-7681",
            "fax_number": "954-431-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7150 W 20TH AVE STE 210",
            "address_purpose": "LOCATION",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "country_code": "US",
            "telephone_number": "305-828-7504",
            "fax_number": "305-828-7506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Elkwood Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "Woodfin",
            "state": "NC",
            "postal_code": "288042212",
            "country_code": "US",
            "telephone_number": "828-484-4478",
            "fax_number": "828-484-0068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JOSE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2014-00246",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS0007092",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS7092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251021901",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JMendez@dermconsultants.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7150 W 20TH AVE STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330165531",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JMendez@dermconsultants.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12600 Pembroke Rd Ste 310",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330272544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JMendez@dermconsultants.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "218 Elkwood Ave Ste 104",
            "city": "Woodfin",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288042212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Memorial Physician Group- Christopher Ramsaran, MD
• Andy Mendez Oliva
• Angeles Mendez
• Ashley Ana Mendez
• Brian L Mendez, MD
• Melonie Mendez, ED.S.
• Jessica Jolie Mendieta
• Luis Mendoza Perez
• Ryan Damian Mendoza, PTA
• Lidice Menendez Perez, RPH

• Dermatology Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.